Individual provider · Type 1 NPI

Maryam Lee Moghaddam, DO

Obstetrics & Gynecology Physician · Maple Grove, MN

NPI number 1811958424 Active

Practice location

14500 99th Ave N
Maple Grove, MN 55369-4730

Mailing address

16973 Weaver Lake Dr
Maple Grove, MN 55311-1435

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000X31579 (MN)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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About NPI 1811958424

Maryam Lee Moghaddam, DO's National Provider Identifier is 1811958424, issued on Mar 31, 2006. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Maple Grove, MN. The record was last updated on Feb 7, 2013.